2019-05-10T07:53:55-05:00 2018-06-30 251408703 SCHNEIDER DOWNS & CO INC ONE PPG PLACE SUITE 1700 PITTSBURGH PA 15222 990 2017-07-01 232935278 CHILDRENS INSTITUTE OF PITTSBURGH CHIL 4124202400 1405 SHADY AVENUE PITTSBURGH PA 152171360 WENDY PARDEE PHD CHIEF EXECUTIVE OFFICER 4124202400 2019-05-10 1 SUSAN M KIRSCH P00341397 4122613644 208.79.164.82 2019-05-10 08:31:39 ED P FF2A738CCB7A11A6C50F471CF34A8BF011F0D4FD A49D6569A03D79232AF51BCC532767A14E83B111 2017 2019-02-21 02:37:17Z WENDY PARDEE PHD 1405 SHADY AVENUE PITTSBURGH PA 152171360 116263614 0 X WWW.AMAZINGKIDS.ORG X 1998 PA POST-ACUTE CARE PEDIATRIC SPECIALTY INPATIENT AND OUTPATIENT HOSPITAL SERVICES, APPROVED PRIVATE SCHOOL GRADES K-12 AND A SOCIAL SERVICE AGENCY PROVIDING INTENSIVE FAMILY SUPPORT, FOSTER CARE AND ADOPTION SERVICES. 22 21 772 154 122850 -45721 2314022 2182116 37597598 35587678 2118176 8807427 0 0 42029796 46577221 0 0 0 0 33825238 32828514 0 0 682396 15539239 14845213 49364477 47673727 -7334681 -1096506 160369057 159685078 45329434 39421172 115039623 120263906 X THE CHILDREN'S INSTITUTE OF PITTSBURGH IS DEDICATED TO IMPROVING QUALITY OF LIFE FOR CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING A SPECIALIZED CONTINUUM OF SERVICES THAT ENABLES THEM TO REACH THEIR POTENTIAL. 0 1 20484329 0 16023285 THE CHILDREN'S INSTITUTE OF PITTSBURGH IS A LEADER IN PEDIATRIC PHYSICAL AND BEHAVIORAL HEALTH THERAPIES, EDUCATION FOR CHILDREN WITH SPECIAL NEEDS, AND FAMILY PLACEMENT, PRESERVATION, REUNIFICATION AND ENRICHMENT SERVICES. ESTABLISHED IN 1902, THE CHILDREN'S INSTITUTE IS AN INDEPENDENT, NONPROFIT, LICENSED ORGANIZATION IN PITTSBURGH DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING A SPECIALIZED CONTINUUM OF SERVICES THAT ENABLES THEM TO REACH THEIR POTENTIAL. IT IS ONE OF THE ONLY ORGANIZATIONS IN PENNSYLVANIA OFFERING MEDICAL SERVICES, A SCHOOL AND A SOCIAL SERVICES AGENCY. THIS UNIQUE, COMPREHENSIVE APPROACH SETS THE ORGANIZATION APART. THE CHILDREN'S INSTITUTE PROVIDES PEDIATRIC MEDICAL SERVICES INCLUDING PHYSICAL AND BEHAVIORAL HEALTH THERAPIES; EDUCATIONAL PROGRAMMING THROUGH THE DAY SCHOOL; AND ADOPTION AND FAMILY ENRICHMENT SERVICES THROUGH PROJECT STAR. IN FISCAL YEAR 2018, WE SERVED 9,136 CHILDREN AND THEIR FAMILIES AND PROVIDED $5,087,185 IN UNCOMPENSATED CARE. THE CHILDREN'S INSTITUTE IS COMMITTED TO PROVIDING HIGH QUALITY, EFFECTIVE PHYSICIAN AND THERAPY SERVICES FOR CHILDREN AND YOUNG ADULTS, AVERAGING MORE THAN 81,000 OUTPATIENT VISITS PER YEAR. WE CONTINUALLY ADVANCE OUR TREATMENT METHODS BY USING NEW TECHNIQUES, AS WELL AS NEW TECHNOLOGY, TO PRODUCE BETTER THERAPEUTIC INTERVENTIONS FOR CHILDREN. WITH FIVE CONVENIENT LOCATIONS - SQUIRREL HILL, WEXFORD, BRIDGEVILLE, IRWIN, PLEASANT HILLS - QUALITY CARE IS CLOSE TO HOME FOR OUR PATIENTS AND THEIR FAMILIES. OUR PROFESSIONAL TEAM PROVIDES OUTPATIENT SERVICES INCLUDING NUTRITION SUPPORT, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH/ LANGUAGE THERAPY, BEHAVIORAL HEALTH SERVICES AND MUCH MORE. THE CHILDREN'S INSTITUTE ALSO OFFERS A CARE COORDINATION PROGRAM, WHICH OPERATES ON A FEE-FOR-SERVICE MODEL WITH CONTRACTS WITH BOTH ALLEGHENY AND WASHINGTON COUNTIES. ADDITIONALLY, CARE COORDINATION HAS A PHILANTHROPICALLY FUNDED ARM THAT SUPPORTS INDIVIDUALS WITH PRADER-WILLI SYNDROME FROM ACROSS THE COUNTRY CONTINUING OUR EXPERIENCE AND EXPERTISE IN WORKING WITH THIS RARE CONDITION.IN 2018, THE CHILDREN'S INSTITUTE DISCONTINUED ALL INPATIENT OPERATIONS. THESE CHANGES DID NOT HAPPEN OVERNIGHT - IT WAS A THOUGHTFUL PROCESS THAT TOOK GOOD CARE OF IMPACTED PATIENTS, FAMILIES AND OUR EMPLOYEES. IN TOTAL, THIS DECISION IMPACTED FEWER THAN 500 PATIENTS OF THE MORE THAN 9,000 KIDS THAT WE HELP EACH YEAR. SINCE WE BEGAN MORE THAN A CENTURY AGO, THE CHILDREN'S INSTITUTE HAS EVOLVED TO MEET THE CHANGING NEEDS OF THE VERY SPECIAL CHILDREN AND FAMILIES WE SERVE. OUR BOARD OF DIRECTORS AND LEADERSHIP TEAM WORKED FOR SEVERAL YEARS TO CHART A SMART PATH FOR THE FUTURE - TAKING INTO CONSIDERATION THE IMPORTANT WORK OF EVERY SERVICE WE OFFER, AS WELL AS HOW OUR ENVIRONMENT HAS CHANGED AROUND US. THROUGH THIS WORK, IT BECAME EVIDENT THAT WE MUST EVOLVE ONCE AGAIN. FOR YEARS, WE HAVE SEEN NEGATIVE TRENDS IN OUR INPATIENT CENSUS AND REVENUE WHILE OUR OPERATING COSTS HAVE CONTINUED TO RISE. ULTIMATELY, IT BECAME CLEAR THIS WAS THE RIGHT PATH FOR OUR ORGANIZATION TO REMAIN STRONG FOR THE FUTURE. BY DISCONTINUING OUR INPATIENT SERVICES, THE CHILDREN'S INSTITUTE CAN MORE FULLY INVEST IN AND EXPAND OUR OUTPATIENT HEALTHCARE SERVICES, THE DAY SCHOOL AND PROJECT STAR. THE WORKPLACE AT THE CHILDREN'S INSTITUTE IS A COMMUNITY OF OVER 480 DEDICATED STAFF MEMBERS. OUR EMPLOYEES TAKE PRIDE IN THEIR JOB, THEIR TEAM AND THEIR ORGANIZATION. AS OF FISCAL YEAR 2018, 159 OF OUR STAFF MEMBERS HAVE BEEN EMPLOYED AT THE CHILDREN'S INSTITUTE FOR 10 YEARS OR MORE, AND 77 OF THOSE FOR 20 YEARS OR MORE. THE CHILDREN'S INSTITUTE'S TEAM MEMBERS CONTINUALLY DEVELOP AND SHARE THEIR PROFESSIONAL EXPERTISE LOCALLY, NATIONALLY, AND INTERNATIONALLY AT CONFERENCES AND TRAININGS. TEAM MEMBERS ALSO ASSUME LEADERSHIP POSITIONS IN THE COMMUNITY BY SERVING ON BOARDS OF OTHER NONPROFITS AND PROFESSIONAL DEVELOPMENT ORGANIZATIONS. WE WANT OUR TEAM MEMBERS TO HAVE ACCESS TO THE MOST CURRENT AND INNOVATIVE TRAINING AND PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO ENHANCE OUR DIRECT CARE OF KIDS WITH SPECIAL NEEDS. BY ENSURING THAT OUR TEAM MEMBERS ARE UTILIZING BEST PRACTICES AND DELIVERING EXCELLENT SERVICES, WE WILL IMPROVE THE QUALITY OF LIFE FOR MORE CHILDREN AND THEIR FAMILIES.THE REACH OF THE CHILDREN'S INSTITUTE GOES FAR BEYOND ITS OWN WORK BY PROVIDING SUPPORT FOR OTHER LIKE-MINDED ORGANIZATIONS SEEKING TO IMPROVE OUR COMMUNITY. FOR EXAMPLE, WE ALLOW A NUMBER OF OTHER COMMUNITY ORGANIZATIONS TO USE OUR FACILITY SPACE FOR MEETINGS AND ACTIVITIES AT NO CHARGE. WE ALSO PROVIDE BENEFIT TO THE COMMUNITY BY SPONSORING LOCAL EVENTS. ADDITIONALLY, WE OFFER SUMMER PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS. OUR MOST NOTABLE SUMMER PROGRAM IS CAMP SUCCESS, WHICH IS DESIGNED TO HELP AT-RISK CHILDREN FACING HUGE BARRIERS INCLUDING NEURODEVELOPMENTAL DISABILITIES, ECONOMIC CHALLENGES, FOSTER CARE SITUATIONS AND HOMELESSNESS. CHILDREN CAN ATTEND THE CAMP WITH THEIR SIBLINGS AT NO COST TO THEM OR THEIR FAMILIES.THE CHILDREN'S INSTITUTE'S RELATIVELY SMALL SIZE BELIES THE SCOPE AND IMPACT OF OUR WORK. OUR CLINICAL, EDUCATION AND FAMILY SUPPORT COMPONENTS ARE INEXTRICABLY RELATED, THEREBY PROVIDING AN UNDUPLICATED, COMPREHENSIVE NETWORK OF SERVICES UNLIKE ANY OTHER PROVIDER. FOR MORE THAN A CENTURY, WE HAVE CONTINUOUSLY EVOLVED TO MEET THE NEEDS OF CHILDREN AND YOUTH WITH SPECIAL NEEDS AND THEIR FAMILIES. BASED ON OUR UNWAVERING COMMITMENT TO THE CHILDREN WE SERVE, WE CONTINUE TO RESPOND NIMBLY TO EMERGING NEEDS - DEVELOPING NEW TREATMENTS, CREATING SOLUTIONS, PUBLISHING AND SHARING OUR KNOWLEDGE AND EXPERTISE IN ORDER TO MEET THE NEEDS IN THE COMMUNITY. 15581830 14876357 THE DAY SCHOOL, LONG REGARDED AS A NATIONAL LEADER IN THE EDUCATION OF CHILDREN WITH DISABILITIES, IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF EDUCATION AS AN APPROVED PRIVATE SCHOOL AND SERVES STUDENTS AGES FIVE TO TWENTY-ONE WHO ARE CHALLENGED BY COMPLEX MEDICAL DISABILITIES, INCLUDING AUTISM SPECTRUM DISORDERS. THE DAY SCHOOL IS ONE OF ONLY TWENTY-FOUR SCHOOLS IN THE COUNTRY RECOGNIZED BY THE NATIONAL COMMISSION FOR ACCREDITATION OF SPECIAL EDUCATION SERVICES. IN FISCAL YEAR 2018, 201 CHILDREN FROM 63 SCHOOL DISTRICTS IN EIGHT COUNTIES IN WESTERN PENNSYLVANIA WERE ENROLLED IN THE DAY SCHOOL. 4969332 4688036 PROJECT STAR IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS AN ADOPTION, FOSTER CARE AND PRIVATE CHILDREN AND YOUTH SOCIAL SERVICE AGENCY. PROJECT STAR WORKS TO HELP CHILDREN, PARTICULARLY THOSE WITH SPECIAL NEEDS, LIVE IN SAFE, NURTURING "FOREVER" FAMILIES. IN FISCAL YEAR 2018, 2,861 CLIENTS WERE SERVED THROUGH INTENSIVE FAMILY SUPPORT, FAMILY VISITATION AND REUNIFICATION, FAMILY RECRUITMENT, CHILD PLACEMENT THROUGH ADOPTION AND FOSTER CARE, MEDICAL FOSTER CARE AND ENRICHMENT PROGRAMMING. AS AN AFFILIATE MEMBER OF THE STATEWIDE ADOPTION NETWORK (SWAN), PROJECT STAR MAINTAINS CONTRACTS WITH LOCAL, STATEWIDE, AND OUT-OF-STATE COUNTIES IN THE AREAS OF PLACEMENT SERVICES AND FAMILY PRESERVATION/REUNIFICATION SERVICES. 41035491 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 54 0 1 772 1 1 1 0 0 0 0 0 0 0 0 0 X 22 21 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X JOHN JUBAS 4124202308 1405 SHADY AVENUE PITTSBURGH PA 152171350 MARSHALL L BALK MD BOARD MEMBER 3.00 X 0 0 0 GREGORY B BENCKART BOARD MEMBER 1.00 X 0 0 0 ROMAYNE L BOTTI BOARD MEMBER 1.00 X 0 0 0 SUSAN L BOYLE BOARD MEMBER 3.00 X 0 0 0 F DANIEL CASTE BOARD MEMBER 1.00 X 0 0 0 ROLAND J CRISWELL BOARD MEMBER 1.00 X 0 0 0 CHRISTINA DECKER BOARD MEMBER 1.00 X 0 0 0 ROBERT I GLIMCHER BOARD MEMBER 1.00 X 0 0 0 MARY J HACKETT BOARD MEMBER 1.00 X 0 0 0 MICHAEL J HANNON BOARD MEMBER 3.00 X 0 0 0 JAY KATARINCIC BOARD MEMBER 3.00 X 0 0 0 ALLAN MACDOUGALL III BOARD MEMBER 1.00 X 0 0 0 BRIAN M MCINERNEY BOARD MEMBER 1.00 X 0 0 0 F BROOKS ROBINSON JR BOARD MEMBER 1.00 X 0 0 0 HENRY STAFFORD BOARD MEMBER 1.00 X 0 0 0 JASON WILBURN BOARD MEMBER 1.00 X 0 0 0 JOHN K THORNBURGH CHAIRMAN 5.00 X X 0 0 0 LISA C FAGAN VICE CHAIRMAN 1.00 X X 0 0 0 JONATHAN M KAMIN VICE CHAIRMAN 3.00 X X 0 0 0 PAMELA W GOLDEN SECRETARY 3.00 X X 0 0 0 MERRILL P STABILE TREASURER 1.00 X X 0 0 0 DAVID K MILES - PRESIDENT AND CEO (EXITED 8/17) 50.00 X X 237443 0 30326 WENDY A PARDEE PHD - PRES AND CEO (ENTERED 8/17) 50.00 X X 103099 0 19474 JOHN JUBAS VICE PRESIDENT OF FINANCE 50.00 X 171793 0 18898 STACEY VACCARO CHIEF OPERATING OFFICER 50.00 X 210432 0 38512 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIONS 40.00 X 192601 0 40523 SHARON DOROGY CHIEF INFORMATION OFFICER 40.00 X 198253 0 36929 CYNTHIA E MORELOCK CHIEF SCHOOL ADMINISTRATOR 40.00 X 163326 0 32492 AILEEN OANDASAN MD PHYSICIAN 40.00 X 315849 0 47026 HOWARD FERMIER MD PHYSICIAN 40.00 X 213022 0 13071 SCOTT FABER MD PHYSICIAN 40.00 X 198492 0 42207 HELENE CONWAY-LONG VICE PRESIDENT 40.00 X 188685 0 38040 LINDA ALLEN VICE PRESIDENT 40.00 X 149552 0 32814 2342547 0 390312 19 0 1 0 CROTHALL 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 ENVIRONMENTAL SERVICES 837625 GARRISON HUGHES 100 FIRST AVENUE SUITE 200 PITTSBURGH PA 15222 MARKETING SERVICES 494116 MORRISON'S MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 448241 BUCHANAN INGERSOLL ROONEY ONE OXFORD CTR 301 GRANT ST PITTSBURGH PA 15219 LEGAL SERVICES 355882 REHABILITATION PHYSICIANS OF PITTSBURGH 21 YOST BLVD PITTSBURGH PA 15221 PHYSICIAN CONTRACT SALARIES 279180 18 54558 86105 2041453 213096 2182116 PATIENT CARE 900099 15616568 15616568 DAY SCHOOL 900099 14876357 14876357 PROJECT STAR 900099 4688036 4688036 DEPARTMENTAL ACTIVITIES 900099 406717 406717 35587678 1469268 122850 1346418 76994732 29820 69512054 174339 7482678 -144519 7338159 7338159 46577221 35587678 122850 8684577 1473768 906280 442496 124992 23649013 22192497 1226705 229811 1552059 1445477 91623 14959 4354921 4006035 288599 60287 1798753 1655022 118802 24929 214239 214239 140400 5000 135400 60000 60000 377167 377167 3988759 3117764 792640 78355 276908 300 223072 53536 1357453 1288618 62152 6683 973295 837700 107471 28124 773356 665075 100985 7296 280672 279607 1052 13 365414 332160 30380 2874 404518 252012 152506 3587873 3075173 484945 27755 512456 512456 MEDICAL/PATIENT RELATED 954614 894447 59843 324 NON-OPERATING EXPENSES 421201 421201 MEMBERSHIP DUES 90905 40158 44152 6595 65983 42166 7954 15863 47673727 41035491 5955840 682396 14370086 3351924 704916 594532 4546975 2901984 31562 5405 554111 522814 56451988 36439517 22712017 20012471 88171806 106503833 29170083 25695660 107501 96455 160369057 159685078 5668506 5660736 32992 34936 18680000 17890000 5975000 5850000 14972936 9985500 45329434 39421172 X 111286880 117299441 2490947 1702669 1261796 1261796 115039623 120263906 160369057 159685078 X -1096506 3828786 2492003 X X 0 1 X 1 1 1 X 0 61884 61884 47234676 47296560 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 60300 60000 60300 60000 240600 250000 250000 250000 250000 1000000 1500000 1261796 0 1261796 1261396 400 1261796 1260916 480 1261396 1211413 49503 1260916 1021874 189539 1211413 0.00000 1.00000 0.00000 0 0 2242552 2242552 36660013 22475013 14185000 1614966 930863 684103 14011628 11952579 2059049 1922829 1081062 841767 20012471 LIMITED PARTNERSHIPS AND PRIVATELY HELD INVESTMENTS 25695660 F 25695660 ANNUITY FUNDS PAYABLE 218819 PENSION RELATED LIABILITY 9766681 9985500 X 52091399 3828786 2492003 6320789 45770610 377167 429444 806611 46577221 46867116 0 46867116 377167 429444 806611 47673727 PART X, LINE 2: CI IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. ACCORDINGLY, NO PROVISION FOR TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. CI IS ALSO EXEMPT FROM STATE INCOME TAX UNDER APPLICABLE STATE STATUTES. CI FOLLOWS THE CODIFICATION TOPIC ON INCOME TAXES. THE TOPIC PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN FINANCIAL STATEMENTS. CI'S STATEMENTS OF FINANCIAL POSITION AT JUNE 30, 2018 AND 2017 DO NOT INCLUDE ANY LIABILITIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS; FURTHER, CI HAS NO UNRECOGNIZED TAX BENEFITS. CI IS NO LONGER SUBJECT TO EXAMINATION OF ITS TAX RETURNS FOR YEARS BEFORE 2015. NO INTEREST AND PENALTIES WERE RECORDED IN OPERATING EXPENSES WITHIN THE STATEMENTS OF OPERATIONS DURING THE YEARS ENDED JUNE 30, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED APPRECIATION ON PENSION BENEFIT PLAN COSTS 2,492,003. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 429,444. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 429,444. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 FOREIGN INVESTMENTS N/A 38218439 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FOREIGN INVESTMENTS N/A 1045700 0 0 0 0 0 0 39264139 0 39264139 1 0 1 1 1 0 1 1 1 X 1 X 201.000000000000 1 1 0 1 1 50895 50895 0.00110 6583799 3652730 2931069 0.06150 6634694 3652730 2981964 0.06260 21123313 19623381 1499932 0.03150 1479086 334507 1144579 0.02400 20702 20702 0.00040 41527 41527 0.00090 22664628 19957888 2706740 0.05680 29299322 23610618 5688704 0.11940 0 58655 0 0 X 1 1 1 1 THE CHILDREN'S INSTITUTE OF PITTSBURGH 1405 SHADY AVENUE PITTSBURGH PA 15217 X X X THE CHILDREN'S INSTITUTE OF PITTSBURGH 1 0 0 1 X X X X X X X X X X 17 1 0 0 1 X WWW.AMAZINGKIDS.ORG X 1 17 0 1 0 1 X 200.000000000000 201.000000000000 X X X X X 1 1 X X X 1 X WWW.AMAZINGKIDS.ORG X WWW.AMAZINGKIDS.ORG X WWW.AMAZINGKIDS.ORG X X X X 1 X 0 X X X 0 X X 0 0 THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 3J: THE CHILDREN'S INSTITUTE OF PITTSBURGH EVALUATED THE IMPACT OF THEIR ACTIONS TAKEN SINCE THE PRIOR CHNA IN 2015. THIS INFORMATION CAN BE FOUND IN THE EVALUATION OF PAST WORK, WHICH IS LOCATED IN THE APPENDIX OF THE 2018 CHNA. THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 5: THE CHILDREN'S INSTITUTE'S LEADERS TOOK EVERY OPPORTUNITY TO ENGAGE WITH PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TO SOLICIT INPUT IN PRIORITIZING THE NEEDS AND IN IDENTIFYING POTENTIAL RESOURCES TO SUPPORT OUR EFFORTS TO ADDRESS THE NEEDS. WE SOLICITED AND INCORPORATED FEEDBACK FROM FAMILIES AND OTHER COMMUNITY STAKEHOLDERS. SEE THE IMPLEMENTATION STRATEGY ATTACHED FOR A MORE DETAILED LIST OF STAKEHOLDERS. THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 11: THERE WERE ELEVEN SIGNIFICANT NEEDS IDENTIFIED IN THE CHILDREN'S INSTITUTE OF PITTSBURGH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PUBLISHED BY THE ORGANIZATION ON JUNE 30, 2018. SEE PAGES 16-36 FOR THE COMPREHENSIVE SUMMARY OF FINDINGS.THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN THE COMMUNITY, BASED ON THE INFORMATION GATHERED AND PRIORITIZED THROUGH THE CHILDREN'S INSTITUTE OF PITTSBURGH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PUBLISHED BY THE ORGANIZATION ON JUNE 30, 2018. SEE PAGES 16-36 OF THE CHNA FOR THE COMPREHENSIVE SUMMARY OF FINDINGS.1. MENTAL HEALTH 2. COGNITIVE & BEHAVIORAL CONDITIONS 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. TOBACCO, ALCOHOL & OTHER DRUGS 5. NEUROLOGICAL CONDITIONS 6. ACCESS TO HEALTHCARE SERVICES 7. INJURY & VIOLENCE 8. VISION, HEARING & SPEECH CONDITIONS 9. INFANT HEALTH 10. SEXUAL HEALTH 11. ALLERGIES FROM THIS DATA, OPPORTUNITIES FOR CHILDREN'S HEALTH IMPROVEMENT EXIST IN THE LOCAL COMMUNITY WITH REGARD TO THESE HEALTH ISSUES. WHILE THE CHILDREN'S INSTITUTE WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THESE HEALTH ISSUES, THE RESULTS WILL BE USED TO INFORM THE DEVELOPMENT OF THE CHILDREN'S INSTITUTE OF PITTSBURGH'S IMPLEMENTATION STRATEGY (IN THE FORM OF A NEW STRATEGIC PLAN) TO ADDRESS THE TOP HEALTH NEEDS OF CHILDREN AND YOUTH IN THE COMMUNITY IN THE COMING YEARS. PART V, SECTION B, LINE 16A: THE UPDATED POLICY WAS PUBLISHED ON THE WEBSITE IN JANUARY 2018. PART I, LINE 3C: MEDICAL BENEFITS EXHAUSTEDPART I, LINE 3B AND PART V, LINE 13: IN DETERMINING FINANCIAL ASSISTANCE, THE CHILDREN'S INSTITUTE APPLIES A SLIDING FPG SCALE IN CONNECTION WITH THE PROVISION OF DISCOUNTED CARE. THE SCALE BEGINS AT 201% OF THE FEDERAL POVERTY GUIDELINES AND EXTENDS TO 350% OF FEDERAL POVERTY GUIDELINES. IF THE PATIENT'S HOUSEHOLD DOES NOT MEET THE ELIGIBILITY GUIDELINES, THE PATIENT MAY QUALIFY BY DEMONSTRATING THAT MEDICAL EXPENSES AND/OR RELATED CATASTROPHIC EVENTS HAVE RESULTED IN A FINANCIAL BURDEN THAT THREATENS THE FINANCIAL WELL BEING OF THE PATIENT AND HIS/HER FAMILY. THE CHILDREN'S INSTITUTE MUST HAVE THE ABILITY TO VALIDATE THESE EXPENSES. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. CI RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH INTERNAL POLICIES. PART III, LINE 4: SEE PAGE 10, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES IN ATTACHED COPY OF AUDITED FINANCIAL STATEMENTS. PART III, LINE 9B: ONCE THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED, ALL APPLICABLE DISCOUNTS AND/OR FINANCIAL ASSISTANCE REDUCTIONS ARE POSTED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE AUTHORIZATION AND LIMITATION ON CHARGES PROCEDURE PRIOR TO SENDING AN INVOICE TO THE FAMILY FOR ANY REMAINING BALANCE. PART VI, LINE 2: IN ORDER TO UNDERSTAND THE NEEDS OF THE COMMUNITY WE SERVE AND HOW TO BEST MEET THOSE NEEDS, THE BOARD, LEADERSHIP AND STAFF OF THE CHILDREN'S INSTITUTE ENGAGED IN A RIGOROUS RESEARCH AND PLANNING PROCESS THAT INCLUDED INTERNAL AND EXTERNAL STAKEHOLDER INTERVIEWS, FOCUS GROUPS, SURVEYS AND MARKET ANALYSIS. THIS PROCESS THAT BEGAN IN 2017 FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CULMINATED IN 2018 WITH VISION 2023, A NEW STRATEGIC PLAN THAT ADDRESSES BOTH THE NEEDS OF THE COMMUNITY AND THE CHILDREN'S INSTITUTE. ONCE THE CHNA WAS COMPLETED AND APPROVED BY OUR BOARD OF DIRECTORS IN SPRING 2018, THE CHILDREN'S INSTITUTE EMBARKED ON AN INITIATIVE TO FACILITATE THE DEVELOPMENT OF AN UPDATED STRATEGIC PLAN FOR THE ORGANIZATION THAT WOULD ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. VISION 2023 WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 15, 2018, AND ADDRESSES THE PRIORITIES IDENTIFIED IN THE CHNA. ADDITIONALLY, VISION 2023 CHARTS OUR FUTURE DIRECTION AS AN ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR CHILDREN, YOUNG PEOPLE, AND THEIR FAMILIES BY PROVIDING A SPECIALIZED CONTINUUM OF SERVICES THAT ENABLES THEM TO REACH THEIR POTENTIAL. TO CREATE VISION 2023, WE ENGAGED THE ASSISTANCE OF OPEN MINDS, A CONSULTING FIRM SPECIALIZING IN PROVIDING SERVICES TO THE HEALTH AND HUMAN SERVICES INDUSTRY. OUR INTERNAL STRATEGIC PLANNING TEAM REVIEWED AND ANALYZED A VARIETY OF INFORMATION AS PART OF THIS PLANNING PROCESS, INCLUDING THE FOLLOWING: * THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER PITTSBURGH AREA * KEY NATIONAL AND LOCAL ENVIRONMENTAL ISSUES IMPACTING THE CHILDREN'S INSTITUTE * DETAILED FINANCIAL INFORMATION ABOUT THE CHILDREN'S INSTITUTE AND ITS SERVICE LINES * KEY COMPETITORS * FEEDBACK FROM COMMUNITY STAKEHOLDERS, BOARD MEMBERS, EMPLOYEES, AND KEY THOUGHT LEADERS IN THE INDUSTRYONE OF OUR PRIORITIES IN VISION 2023 WAS TO ADDRESS OUR LOCAL COMMUNITY HEALTH NEEDS AS IDENTIFIED IN OUR RECENT CHNA. THE FOLLOWING THREE COMMUNITY PRIORITIES INFLUENCED OUR PLAN: * MENTAL HEALTH: TODAY, STUDIES SHOW THAT ABOUT 20 PERCENT OF SCHOOL-AGE CHILDREN ARE IN NEED OF BEHAVIORAL HEALTH INTERVENTIONS. THE BEHAVIORAL HEALTH PROGRAM AT THE CHILDREN'S INSTITUTE IS GROWING TO SERVE A MORE DIVERSE GROUP OF CHILDREN AND YOUTH. FROM INDIVIDUAL THERAPY TO GROUP THERAPY, WE ARE EXPANDING OUR SERVICES THROUGH VISION 2023 TO BE AN AMAZING RESOURCE TO CHILDREN, TEENS, AND YOUNG ADULTS, INCLUDING THOSE WITH MEDICAL COMPLEXITIES. INDIVIDUAL THERAPIES ADDRESS CONCERNS RELATED TO DEPRESSION, ANXIETY, SOCIAL AND BEHAVIORAL ISSUES, INATTENTION AND IMPULSIVITY, SEPARATION AND LOSS, AND TRAUMA. * TOBACCO, ALCOHOL & OTHER DRUGS: THE OPIOID CRISIS HAS CREATED A GREATER NEED FOR FAMILY PRESERVATION SERVICES AND FOSTER CARE SETTINGS. COUNTY SYSTEMS WILL CONTINUE TO BE CHALLENGED WITH HOW TO MEET THE DEMAND FOR SERVICES WITHIN THEIR BUDGETS, SO VISION 2023 WILL EXPLORE THE EXPANSION OF OUR PROJECT STAR SERVICES TO UNDERSERVED POPULATIONS. * ACCESS TO HEALTHCARE SERVICES: PROVIDERS ARE EMBRACING TECHNOLOGY IN THE DELIVERY OF THEIR SERVICES. FROM VIRTUAL REALITY IN THERAPIES, TO POST CARE APPS, PROVIDERS ARE FINDING WAYS TO INFUSE TECHNOLOGY INTO THEIR SERVICES. LEGISLATORS ARE RECOGNIZING THE VALUE OF TELE-SERVICES AND EASING THE REGULATIONS TO PROVIDING THESE SERVICES. PAYORS ARE ALSO BEGINNING TO BROADEN THE SCOPE OF REIMBURSEMENT FOR THESE SERVICES. VISION 2023 WILL ENABLE US TO AGGRESSIVELY PURSUE THE USE OF TECHNOLOGY TO EXPAND OUR SERVICES TO UNDERSERVED POPULATIONS.STAKEHOLDER INTERVIEWS AND FOCUS GROUPS SHOWED THAT THE CHILDREN'S INSTITUTE HAS A PROMINENT HISTORY OF SERVING CHILDREN AND YOUTH WITH DISABILITIES AND OTHER COMPLEX CONDITIONS. IT HAS A STELLAR REPUTATION FOR THE QUALITY OF THE CARE IT PROVIDES, AND A HIGHLY-SKILLED STAFF DEDICATED TO ITS MISSION. ADDITIONALLY, THE STAKEHOLDER INTERVIEWS IDENTIFIED A NUMBER OF OPPORTUNITIES FOR THE CHILDREN'S INSTITUTE TO EXPAND ITS SERVICES AND THE ORGANIZATION'S IMPACT ON INDIVIDUALS AND COMMUNITIES. THESE FINDINGS, COUPLED WITH THE CHNA, RESULTED IN THE FOLLOWING VISION 2023 GOALS THAT WILL ALLOW THE CHILDREN'S INSTITUTE TO ADDRESS AND IMPLEMENT STRATEGIES TO BEST SERVICE THE COMMUNITY OVER THE NEXT FIVE YEARS:INITIATIVES FOR STRATEGIC OBJECTIVE #1WE WILL OPERATE A PORTFOLIO OF SERVICES WITHIN A FINANCIALLY SUSTAINABLE MODEL THAT ACHIEVES BREAKEVEN FROM OPERATIONS, BY THE END OF FISCAL YEAR 2023. THE KEY INITIATIVES TO ACCOMPLISH THIS STRATEGIC OBJECTIVE ARE AS FOLLOWS: * DEVELOP A FRAMEWORK TO EVALUATE OUR SERVICES/PROGRAMS FOR FINANCIAL VIABILITY, ALIGNMENT TO OUR CORE MISSION, AND IMPACT AND UNIQUE PROGRAM COMPETENCY * DELIVER OUR OUTPATIENT SERVICES IN A MODEL THAT IS FINANCIALLY VIABLE * SEEK ORGANIC GROWTH FOR OUR OUTPATIENT BEHAVIORAL HEALTH SERVICES, DAY SCHOOL SERVICES, AND PROJECT STAR SERVICES. EXAMPLES COULD INCLUDE: - DEVELOP CAPACITY TO ACCEPT REFERRALS OF CHILDREN WITH INTENSE BEHAVIORAL NEEDS TO OUR DAY SCHOOL - EXPLORE MODELS FOR EMBEDDING SPECIALIZED CLASSROOMS INTO SCHOOLS AND DEVELOPING SERVICES THAT WOULD BE PURCHASED BY EDUCATIONAL ENTITIES - IDENTIFY COUNTIES WITHIN SOUTHWESTERN PENNSYLVANIA THAT ARE CONDUCIVE TO OUR PROJECT STAR SERVICES - EXPAND OUR OUTPATIENT BEHAVIORAL HEALTH SERVICES TO LOGICAL CHILDREN'S INSTITUTE LOCATIONS * DETERMINE IF OUR MAIN CAMPUS CONTINUES TO BE THE MOST OPTIMAL LOCATION FOR OUR SERVICES, AND IF NOT, DETERMINE OUR DESIRED LOCATION FOR PROGRAMS * PROCURE A NEW HEALTH INFORMATION SYSTEM TO BEST POSITION THE CHILDREN'S INSTITUTE FOR OUTCOME MEASURES, ALTERNATIVE PAYMENT METHODOLOGIES, AND AN ENHANCED CUSTOMER EXPERIENCE * ENSURE OUR OVERHEAD ALIGNS WITH INDUSTRY STANDARDS, AND THAT WE ARE AT AN ORGANIZATIONAL SIZE THAT ACCOMMODATES IMMUTABLE OVERHEAD COSTS * ENHANCE AND DEVELOP RELATIONSHIPS FOR FUNDING SOURCES INCLUDING NEW DONORS, GOVERNMENT FUNDING SOURCES, AND GRANTSINITIATIVES FOR STRATEGIC OBJECTIVE #2WE WILL AGGRESSIVELY PURSUE PARTNERSHIPS THAT ENHANCE OUR CAPACITY TO PROVIDE, DEVELOP, AND CONNECT TO A SUSTAINABLE, HOLISTIC ARRAY OF EXCEPTIONAL SERVICES THAT SUPPORT INDIVIDUALS WITH DISABILITIES ACROSS THEIR LIFESPAN. THE KEY INITIATIVES TO ACCOMPLISH THIS STRATEGIC OBJECTIVE ARE AS FOLLOWS: * PROVIDE OR CONNECT TO A ROBUST ARRAY OF SERVICES FOR INDIVIDUALS WITH DISABILITIES, WHICH WILL SUPPORT THEM ACROSS THEIR LIFESPAN. THIS EXPANSION WILL FOCUS ON PARTNERSHIP WITH ORGANIZATIONS WHOSE SERVICES COMPLEMENT AND EXTEND OUR EXISTING SERVICES. THE PRIORITY OF LOGICAL PARTNERSHIPS WILL FOCUS ON: - EDUCATIONAL SERVICES - CHILD AND ADOLESCENT OUTPATIENT BEHAVIORAL HEALTH SERVICES - TRANSITION AGE AND ADULT INTELLECTUAL AND DEVELOPMENTAL DISABILITY (I/DD) SERVICES - FAMILY PRESERVATION, FOSTER, AND ADOPTION SERVICES * EXPLORE THE DEVELOPMENT OF SUSTAINABLE TELE-MODELS OF SERVICE DELIVERY FOR ALL FACETS OF OUR PROGRAMS * ASSESS HOW TO PROVIDE CARE COORDINATION SERVICES TO INDIVIDUALS THAT WILL CONNECT THEM TO RESOURCES, SUPPORTS, ETC. THIS WILL BECOME THE CENTRAL HUB OF OUR SERVICES THAT WILL DIFFERENTIATE US FROM OUR COMPETITORS.INITIATIVES FOR STRATEGIC OBJECTIVE #3WE WILL ATTRACT AND RETAIN THE BEST TALENT TO ENSURE OUR QUALITY OF SERVICES AND REPUTATION CONTINUES TO DIFFERENTIATE US FROM OUR PEERS. THE KEY INITIATIVES TO ACCOMPLISH THIS STRATEGIC OBJECTIVE ARE AS FOLLOWS: * REALIGN OUR LEADERSHIP STRUCTURE TO ENSURE OUR ABILITY TO EXECUTE OUR STRATEGIC PLAN AND PROCURE TALENT TO FILL ANY LEADERSHIP GAPS. * DEVELOP A COMPREHENSIVE TALENT ACQUISITION PLAN THAT REFLECTS BEST PRACTICES OF BOTH THE NONPROFIT AND FOR-PROFIT SECTORS. THIS PLAN WILL ENSURE TIMELY IDENTIFICATION AND ON-BOARDING OF TEAM MEMBERS THAT WILL BEST POSITION THEM FOR SUCCESS. * IMPLEMENT A PROFESSIONAL DEVELOPMENT PLAN THAT BUILDS AND ENHANCES OUR LEADERSHIP CAPACITY, PROPELS INTELLECTUAL CURIOSITY AND ADVANCES OUR SERVICES. WE WILL THEN SEEK OPPORTUNITIES TO PROMOTE OUR BODY OF KNOWLEDGE AND EXPERTISE BEYOND OUR WALLS. * DEPLOY BEST PRACTICES FOR ENHANCING OUR ORGANIZATIONAL CULTURE. THESE WILL INCLUDE SOLICITING EMPLOYEE FEEDBACK, REVISING OUR PERFORMANCE EVALUATIONS, AND FINDING OPPORTUNITIES TO REWARD HIGH PERFORMING TEAM MEMBERS. * DEVELOP A TOTAL COMPENSATION PHILOSOPHY BASED ON MARKET AND FINANCIAL FEASIBILITY THAT POSITIONS OUR ORGANIZATION TO BE IN AN ADVANTAGEOUS POSITION TO RECRUIT AND RETAIN TEAM MEMBERS.A HIGH-LEVEL TIMELINE AND REGULAR PLANNING COMMITTEE MEETINGS WILL ENSURE THAT WE ACHIEVE SUCCESS IN WORKING TO ACCOMPLISH THESE STRATEGIC OBJECTIVES BY 2023. PART VI, LINE 3: THE FAP INFORMATION AND THE APPLICATION ARE AVAILABLE ON THE INSTITUTE'S WEBSITE AND IS POSTED IN THE WAITING ROOMS OF ALL LOCATIONS. THE INSTITUTE'S FAP PROCEDURE INFORMATION IS CLEARLY MARKED AND EASY TO FIND. THE PLAIN LANGUAGE SUMMARY OF THE FAP INCLUDES THE SLIDING SCALE USED TO DETERMINE FINANCIAL ASSISTANCE. THE DOCUMENT CHECKLIST AND PLAIN LANGUAGE SUMMARY CLEARLY IDENTIFIES THE PROCESS IN WHICH A PATIENT MUST USE TO APPLY FOR FINANCIAL ASSISTANCE AND/OR DISCOUNTED CARE. PART VI, LINE 4: THE CHILDREN'S INSTITUTE SERVES PATIENTS AND FAMILIES FROM MANY COMMUNITIES ACROSS PENNSYLVANIA AND THE COUNTRY. IN MAY 2018, INPATIENT SERVICES AT THE CHILDREN'S INSTITUTE WERE DISCONTINUED. IN TOTAL, THIS DECISION IMPACTED FEWER THAN 500 PATIENTS OF THE MORE THAN 9,000 KIDS THAT WE HELP EACH YEAR. SINCE WE BEGAN MORE THAN A CENTURY AGO, THE CHILDREN'S INSTITUTE HAS EVOLVED TO MEET THE CHANGING NEEDS OF THE VERY SPECIAL CHILDREN AND FAMILIES WE SERVE. OUR BOARD OF DIRECTORS AND LEADERSHIP TEAM WORKED FOR SEVERAL YEARS TO CHART A SMART PATH FOR THE FUTURE - TAKING INTO CONSIDERATION THE IMPORTANT WORK OF EVERY SERVICE WE OFFER, AS WELL AS HOW OUR ENVIRONMENT HAS CHANGED AROUND US. THROUGH THIS WORK, IT BECAME EVIDENT THAT WE MUST EVOLVE ONCE AGAIN. FOR YEARS, WE HAVE SEEN NEGATIVE TRENDS IN OUR INPATIENT CENSUS AND REVENUE WHILE OUR OPERATING COSTS HAVE CONTINUED TO RISE. ULTIMATELY, IT BECAME CLEAR THIS WAS THE RIGHT PATH FOR OUR ORGANIZATION TO REMAIN STRONG FOR THE FUTURE. BY DISCONTINUING OUR INPATIENT SERVICES, THE CHILDREN'S INSTITUTE CAN MORE FULLY INVEST IN AND EXPAND OUR OUTPATIENT HEALTHCARE SERVICES, THE DAY SCHOOL AND PROJECT STAR.THERE ARE OVER 229,000 CHILDREN UNDER AGE 18 IN ALLEGHENY COUNTY, REPRESENTING NEARLY 18.8% OF THE TOTAL POPULATION, AND A QUARTER OF ALL HOUSEHOLDS HAVE DEPENDENT CHILDREN. THE MEDIAN HOUSEHOLD INCOME IN ALLEGHENY COUNTY IS $56,333. NEARLY 11.2% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL. WHILE CHILDREN UNDER 18 MAKE UP 18.8% OF THE POPULATION IN ALLEGHENY COUNTY, SENIORS AGE 65+ MAKE UP NEARLY THE SAME PORTION AT 18.4%. ALLEGHENY COUNTY IS PREDOMINANTLY CAUCASIAN, WITH WHITES COMPRISING 80.3% OF THE POPULATION. THE 20% MINORITY POPULATION IS REPRESENTED MAINLY BY AFRICAN AMERICANS AT 13.4%.HIGH SCHOOL IS THE HIGHEST EDUCATION LEVEL ATTAINED BY THE LARGEST PORTION OF THE POPULATION REPRESENTED BY 661,669 RESIDENTS OR 54.1%. A SIGNIFICANT NUMBER HAVE ATTAINED A BACHELOR'S DEGREE OR HIGHER (40%) PRIMARILY DUE TO PITTSBURGH BEING THE SEAT OF MANY DISTINGUISHED INSTITUTES OF HIGHER LEARNING INCLUDING THE UNIVERSITY OF PITTSBURGH, CARNEGIE MELLON UNIVERSITY, AND DUQUESNE UNIVERSITY.IN 2017, 61.1% OF THE PEDIATRIC POPULATION IN ALLEGHENY COUNTY IS COVERED BY PRIVATE INSURANCE, 76,849 (31.8%) ARE COVERED BY MEDICAID AND 13,937 (5.2%) BY CHIP. THESE CHILDREN WHO ARE COVERED BY GOVERNMENT FUNDED OR SUBSIDIZED INSURANCE REPRESENT A LARGE PORTION OF OUR PATIENTS.THE SPECIAL NEEDS PEDIATRIC POPULATION THAT THE CHILDREN'S INSTITUTE SERVES INCLUDES A VARIETY OF FUNCTIONAL LIMITATIONS, DISABILITIES AND CONGENITAL CONDITIONS INCLUDING AUTISM, NEUROLOGICAL IMPAIRMENT, AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. ACCORDING TO DATA COLLECTED IN 2017, THERE ARE OVER 25,000 STUDENTS ENROLLED IN SPECIAL EDUCATION IN ALLEGHENY COUNTY, 8,000 OF THEM (32%) WITH SPECIFIC LEARNING DISABILITIES. 1,464 CHILDREN (5.7%) HAVE AN INTELLECTUAL DISABILITY AND 3,900 (15.6%) HAVE SPEECH OR LANGUAGE IMPAIRMENT.OVER 3,500 SPECIAL EDUCATION STUDENTS IN ALLEGHENY COUNTY ARE CATEGORIZED AS "OTHER HEALTH IMPAIRMENT" WHICH IS DEFINED AS HAVING LIMITED STRENGTH OR ALERTNESS DUE TO CHRONIC OR ACUTE HEALTH PROBLEMS THAT LIMIT THEIR ABILITY TO LEARN. OVER 2,900 WITHIN THE SPECIAL EDUCATION SYSTEM ARE DIAGNOSED WITH AUTISM.ANOTHER 2,255 SPECIAL EDUCATION STUDENTS IN ALLEGHENY COUNTY SUFFER FROM EMOTIONAL DISTURBANCES.AS THIS POPULATION AGES OUT OF THE SPECIAL EDUCATION SYSTEM AT AGE 21, THEIR FAMILIES ARE FACED WITH LIMITED CHOICES DUE TO THEIR SIGNIFICANT NEEDS SUCH AS INABILITY TO MANAGE ACTIVITIES OF DAILY LIVING AND NEEDING CONSTANT SUPERVISION. PART VI, LINE 5: THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO REPRESENT THE COMMUNITY. IN ACCORDANCE WITH THE ORGANIZATION'S ARTICLES OF INCORPORATION, ANY SURPLUS FUNDS ARE REINVESTED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 DAVID K MILES - PRESIDENT AND CEO (EXITED 8/17) 175582 0 52088 0 9773 0 11498 0 18828 0 267769 0 0 0 JOHN JUBAS VICE PRESIDENT OF FINANCE 142576 0 28561 0 656 0 8618 0 10280 0 190691 0 0 0 STACEY VACCARO CHIEF OPERATING OFFICER 180671 0 29377 0 384 0 10712 0 27800 0 248944 0 0 0 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIONS 160922 0 29459 0 2220 0 9712 0 30811 0 233124 0 0 0 SHARON DOROGY CHIEF INFORMATION OFFICER 169289 0 27438 0 1526 0 10006 0 26923 0 235182 0 0 0 CYNTHIA E MORELOCK CHIEF SCHOOL ADMINISTRATOR 150007 0 12160 0 1159 0 8261 0 24231 0 195818 0 0 0 AILEEN OANDASAN MD PHYSICIAN 315109 0 0 0 740 0 13987 0 33039 0 362875 0 0 0 HOWARD FERMIER MD PHYSICIAN 210085 0 0 0 2937 0 10504 0 2567 0 226093 0 0 0 SCOTT FABER MD PHYSICIAN 196672 0 0 0 1820 0 10051 0 32156 0 240699 0 0 0 HELENE CONWAY-LONG VICE PRESIDENT 158333 0 28936 0 1416 0 9541 0 28499 0 226725 0 0 0 LINDA ALLEN VICE PRESIDENT 125323 0 23146 0 1083 0 7631 0 25183 0 182366 0 0 0 PART I, LINE 1A DAVID MILES, PRESIDENT AND CEO THROUGH AUGUST 2017 HAD A MEMBERSHIP TO A SOCIAL CLUB IN THE REGION FOR WHICH THE ORGANIZATION PAID DUES ON HIS BEHALF. BUSINESS AND PERSONAL USE WERE ACCOUNTED FOR IN ACCORDANCE WITH THE ORGANIZATION'S EXPENSE REIMBURSEMENT POLICY. THE VALUE OF ANY PERSONAL USE WAS REPORTED AS COMPENSATION AND INCLUDED ON HIS FORM W-2. PART I, LINE 7 BONUS PAYMENTS WERE AWARDED DURING THE CALENDAR YEAR 2017. FORM 990, SCHEDULE J, PART II: CERTAIN INDIVIDUALS LISTED IN PART II ARE PARTICIPANTS IN THE ORGANIZATION'S DEFINED BENEFIT PLAN. THE ESTIMATED INCREASE/DECREASE IN VALUE FOR EACH INDIVIDUAL IS NOT AVAILABLE DUE TO THE FACT THAT THE ACTUARIAL VALUE IS CALCULATED ON A PLAN LEVEL AND NOT AN INDIVIDUAL PARTICIPANT BASIS. A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AB96 2005-06-22 15155000 FACILITY PURCHASE AND RENOVATION 0 0 0 B ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AC20 2005-06-22 10105000 FACILITY PURCHASE AND RENOVATION 0 0 0 A 4325000 15155000 144264 15010736 2008 0 0 1 1 B 3045000 10105000 96192 10008808 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 1 0 0 0 0 B 1 1 0 0 0 0 A 0 B 0 SCHEDULE K SUPPLENTAL INFORMATION PLEASE NOTE FORM 8038 THAT WAS FILED IN CONNECTION WITH THIS TAX EXEMPT BOND FINANCING IMPROPERLY REPORTED THIS TRANSACTION AS A SINGLE ISSUANCE. THE INFORMATION SET FORTH ON SCHEDULE K CORRECTLY REFLECTS THE FINANCING TRANSACTIONS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 240375 SEE PART VLIABILITY INSURANCE CARRIER FOR THE CHILDREN'S INSTITUTE 0 X 0 N/A X 0 N/A X 8 208096 FAIR MARKET VALUE X 1 0 N/A X 2 0 N/A X 5 0 N/A X GIFT CARDS 2 5000 CASH VALUE X MUSICAL EQUIPMENT 1 0 N/A X COMPUTER EQUIPMENT 1 0 N/A X THEME PARK ADMISSION PASSES 1 0 N/A X CHILDREN'S TOYS 7 0 N/A 0 0 1 0 PART I, COLUMN (B): THE AMOUNT SHOWN IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS OF EACH CLASS OF NON-CASH CONTRIBUTION FOR THE YEAR ENDED JUNE 30, 2018. IN ADDITION TO THE ITEMS LISTED ABOVE, THE CHILDREN'S INSTITUTE RECEIVED DONATIONS OF CLOTHING FROM 4 DONORS, AND DONATIONS OF VARIOUS BOOKS FROM 4 DONORS. THE VALUE ASSOCIATED WITH THESE ITEMS WAS DEEMED DE MINIMIS AND THEY ARE NOT INCLUDED IN THE CHILDREN'S INSTITUTE'S FINANCIAL STATEMENTS. FORM 990, PART III, LINE 3 THE CHILDREN'S INSTITUTE DISCONTINUED THEIR INPATIENT HEALTHCARE SERVICES, WHICH WILL ALLOW THE CHILDREN'S INSTITUTE TO MORE FULLY INVEST IN AND EXPAND THEIR OUTPATIENT HEALTHCARE SERVICES, THE DAY SCHOOL AND PROJECT STAR. THE CHILDREN'S INSTITUTE HAS SUBMITTED FORM 8940, REQUEST FOR MISCELLANEOUS DETERMINATION, TO THE INTERNAL REVENUE SERVICE SEEKING RECOGNITION OF THE RECLASSIFICATION OF ITS TAX EXEMPT STATUS TO THAT OF A SCHOOL. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS FOR APPROVAL. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS AND REPORTS OF ITS ACTIONS SHALL BE SUBMITTED TO THE BOARD OF DIRECTORS AND ITS ACTIONS SHALL BE SUBJECT TO APPROVAL OR DISAPPROVAL AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 2 ROBERT I. GLIMCHER AND JONATHAN K. KAMIN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 * THE CHAIRPERSON OF THE FINANCE COMMITTEE HAD PREVIOUSLY BEEN EXEMPT FROM THE RULE THAT A DIRECTOR WAS LIMITED TO 12 FISCAL YEARS OF SERVICE. THE NEW BYLAWS NOW MAKE THE CHAIRPERSON OF THE FINANCE COMMITTEE SUBJECT TO THE YEARS OF SERVICE LIMITATION OTHER DIRECTORS MUST ADHERE TO. * AN INVESTMENT COMMITTEE HAS BEEN ADDED TO THE LIST OF STANDING COMMITTEES OF THE BOARD * THE FINANCE COMMITTEE'S MINIMUM MEMBERSHIP REQUIREMENT HAS BEEN REDUCED FROM FIVE BOARD MEMBERS TO THREE BOARD MEMBERS. * ALL RESPONSIBILITIES REGARDING INVESTMENTS AND PENSION FUND MANAGEMENT HAS BEEN TRANSFERRED FROM THE FINANCE COMMITTEE TO THE INVESTMENT COMMITTEE. * THE INSTITUTIONAL ADVANCEMENT COMMITTEE AND QUALITY COMMITTEE MAY NOW INCLUDE MEMBERS OF THE COMMUNITY FORM 990, PART VI, SECTION B, LINE 11B THE CHILDREN'S INSTITUTE RECOGNIZES THAT AS PART OF THE BOARD OF DIRECTORS' GOVERNANCE ROLE, THEY SHOULD REVIEW THE IRS FORM 990. THE AFOREMENTIONED REVIEW HAS BEEN DELEGATED BY THE BOARD TO THE AUDIT COMMITTEE. THE CHILDREN'S INSTITUTE (CI) ALONG WITH CI'S CERTIFIED PUBLIC ACCOUNTING FIRM ARE RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE COMPLETED FORM 990 IN ADVANCE OF AN AUDIT COMMITTEE MEETING TO ENABLE A DETAILED CONSCIENTIOUS REVIEW BY COMMITTEE MEMBERS. AFTER INPUT FROM THE AUDIT COMMITTEE WAS APPROPRIATELY ADDRESSED, A COMPLETE COPY OF THE RETURN WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CHILDREN'S INSTITUTE HAS A CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE CODE OF CONDUCT. THIS POLICY PROVIDES INFORMATION TO ALL DIRECTORS, OFFICERS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS REGARDING REQUIREMENTS FOR DISCLOSURE AND THE SUBSEQUENT CORPORATE ACTION REQUIRED REGARDING SUCH TRANSACTIONS. CI, THROUGH ITS BOARD OF DIRECTORS, BELIEVES IT IS ESSENTIAL THAT ALL SUCH INDIVIDUALS FULLY AND COMPLETELY UNDERSTAND THE RESPONSIBILITIES THE INDIVIDUAL HAS REGARDING POTENTIAL CONFLICTS OF INTEREST. CI ALSO BELIEVES THAT IT IS VERY IMPORTANT THAT ALL SUCH INDIVIDUALS UNDERSTAND THE PROCEDURES UTILIZED BY CI IN DEALING WITH POTENTIAL CONFLICTS OF INTEREST. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE PENNSYLVANIA STATE LAW GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. TO THE EXTENT THAT THIS POLICY CONFLICTS WITH THE PROVISIONS OF APPLICABLE PENNSYLVANIA LAW GOVERNING CONFLICTS OF INTERESTS, THE APPLICABLE PROVISIONS OF PENNSYLVANIA LAW SHALL GOVERN AND CONTROL. EACH MEMBER OF THE GOVERNING BODY, EMPLOYEE AND VOLUNTEER HAS AN OBLIGATION TO EARN THE TRUST AND CONFIDENCE OF THE ORGANIZATION'S CLIENTS, THE COMMUNITY AND COLLEAGUES. ADHERENCE TO THE PRINCIPLES SET FORTH IN THIS POLICY AND THE RELATED DOCUMENTS REFERENCED HEREIN SHALL ASSIST EACH IN DOING SO. MEMBERS OF THE GOVERNING BODY, EMPLOYEES, AND VOLUNTEERS SHALL AVOID ALL CONFLICTS OF INTEREST AND THE APPEARANCE OF ANY CONFLICT OF INTEREST. A CONFLICT OF INTEREST OCCURS IN ANY SITUATION IN WHICH ONE IS POTENTIALLY NOT ABLE TO REMAIN IMPARTIAL OR MAINTAIN OBJECTIVITY IN CHOOSING BETWEEN THE INTERESTS OF THE ORGANIZATION AND ONE'S PERSONAL INTERESTS OR THE INTERESTS OF THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 15A THE CEO EVALUATION COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPRISED OF TWO INDEPENDENT BOARD OFFICERS AND THREE INDEPENDENT BOARD MEMBERS AT LARGE, MEETS ANNUALLY IN JUNE TO REVIEW THE CEO'S PERFORMANCE. DURING THE COURSE OF THE MEETING, THE CEO'S BASE AND INCENTIVE COMPENSATION AWARDS ARE EVALUATED. A COST OF LIVING ADJUSTMENT MAY BE APPLIED TO THE BASE COMPENSATION. THE INCENTIVE COMPENSATION IS BASED ON THE GOALS THE CEO EVALUATION COMMITTEE HAS SET IN CONJUNCTION WITH THE BOARD OF DIRECTORS. PRIOR TO THE START OF THE NEXT FISCAL YEAR, THE CEO EVALUATION COMMITTEE MEETS WITH THE CEO TO REVIEW CURRENT YEAR PERFORMANCE AND TO ESTABLISH GOALS AND COMPENSATION FOR THE NEXT FISCAL YEAR. IN ADDITION, AN INDEPENDENT THIRD PARTY CONDUCTED A COMPENSATION STUDY UTILIZING COMPARABLES AND FORMS 990 TO ESTABLISH THE CEO'S SALARY. THE CEO IN CONJUNCTION WITH THE VICE PRESIDENT OF HUMAN RESOURCES UTILIZES ANNUAL SALARY SURVEY DATA TO ESTABLISH THE BASE AND INCENTIVE COMPENSATION OF THE VICE PRESIDENT OF FINANCE. THE CEO REVIEWS BASE AND INCENTIVE COMPENSATION WITH THE CEO EVALUATION COMMITTEE AT THE ANNUAL JUNE MEETING. PRIOR TO THE START OF THE NEXT FISCAL YEAR, THE CEO MEETS WITH THE VICE PRESIDENT OF FINANCE TO REVIEW CURRENT YEAR PERFORMANCE AND TO ESTABLISH GOALS AND COMPENSATION FOR THE NEXT FISCAL YEAR. THIS PROCESS ALSO APPLIES TO KEY EMPLOYEES OF THE ORGANIZATION. INDUSTRY SALARY AND SURVEY DATA IS EVALUATED ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES AND THE CHIEF EXECUTIVE OFFICER TO ESTABLISH AND EVALUATE SALARY LEVELS OF OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION, IRS DETERMINATION LETTER AND FORMS 990 AND 990-T ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CHILDREN'S INSTITUTE PREPARES AN ANNUAL REPORT THAT CONTAINS ITS SUMMARY FINANCIALS FOR PUBLIC DISTRIBUTION. THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION WILL BE PROVIDED UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING THE BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICIES, ARE NOT PUBLICLY AVAILABLE BUT ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGES IN UNREALIZED PENSION BENEFIT PLAN COSTS 2,492,003. FORM 990 PART XII, FINANCIAL STATEMENTS AND REPORTING: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.